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FORWARD SITE I TICKET GRID <br /> V' INCORPORATED 01 191254 D--99 <br /> 99 South Austin Road/WEIGHING LOCATION P O Box 6336 v - s- — s -WEIGHMASTER <br /> K� SPARKSCA 95336 Stockton, CA 95206 <br /> an 209) 982-4298/WIEICHING LOCATION Main Office (209) 466-4482 r r a . DATE IN, . w-- - - TIME IN <br /> source Recovery (209) 982-4936 Fax (209) 465-063105/25/00J 12: 13 <br /> 952000 �^ "DATE OUT - TIME OUT <br /> ADVANCED GED ENVIRONMENTAL 05/25/00 12. 14 <br /> I DILL LITTLE _ y VEHICLE� ROLL OFF <br /> 4005 N WILSON WAY CONTI 48 <br /> STOCKTON CA 95205 REFERENCE ORIGIN <br /> •.,•- 952000 ZEB KHAN <br /> Scale 1 Gross Weight 75160 LB Inbound - Charge ticket <br /> Stored Tare Weight 28300 LB <br /> Net Weight 46860 LH <br /> QTY UNIT 4 z DESCRIPTIONr*W4 W,-T " ?° ' RATE EXTENSION TAX TOTAL <br /> 23.43 TONS Cover Class II Ton <br /> I <br />[IGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commod+ty was weighed measured or counted by a weighmoster whose signoture is <br /> this certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 92700)of Division 5 of the California Business <br /> d Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> MANIFEST # 721117 NET AMOUNT <br /> TRUCK # 5P41469 <br /> TENDERED <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call (2[79)982--4248 to schedule. <br /> Drive Safely I I CHECK NQ <br /> -A v~ DRIVER'S SIGNATURE <br /> I <br /> I <br /> I <br /> I <br />